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Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
Confusions & Confessions
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Confusions & Confessions

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    • 1. 2005 Governor’s Conference for Women Fad or Fact? Confusions & Confessions about Healthy Diets Eleanor B. Pella, M.S., R.D., L.D.N. Public Health Nutrition Consultant Pennsylvania Department of Health
    • 2. Fad or Fact? Presentation Outline <ul><li>What FACTS do we know about our diets? </li></ul><ul><li>What FACTS do we know about our health? </li></ul><ul><li>What FADS are beneficial, hope or hype? </li></ul><ul><li>What FUNCTIONAL FACTS can you use to evaluate diets and health? </li></ul><ul><li>What is your response to social marketing advertisements? </li></ul>
    • 3.  
    • 4. FAD or FACT? Confusion & Confessions about Diets <ul><li>What is your goal or objective? </li></ul><ul><li>Vanity & Physical Looks </li></ul><ul><li>Health & Quality of Life </li></ul>
    • 5. FACT DIAITA (dye-eh-shah) A manner of LIVING: Live to EAT Or Eat to LIVE
    • 6. FACT Webster’s Definition of HEALTH <ul><li>Sound mind, body & spirit </li></ul><ul><li>Freedom from physical disease </li></ul><ul><li>Flourishing condition </li></ul>
    • 7. Pennsylvania FACT What we know about our diets <ul><li>FIVE of the leading causes of death in Pennsylvania are related to food and lifestyle choices. </li></ul><ul><ul><li>Heart Disease </li></ul></ul><ul><ul><li>Cancer </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul><ul><ul><li>Hypertension </li></ul></ul><ul><ul><li>Stroke </li></ul></ul>
    • 8. Pennsylvania FACT What we know about our health <ul><li>61% of adults in Pennsylvania are overweight with a Body Mass Index (BMI) > 25 </li></ul><ul><li>24% of those adults are obese with a BMI > 30 </li></ul><ul><li>Source: Behavioral Risk Factor Surveillance System, Pennsylvania Department of Health, 2004. </li></ul>
    • 9. Pennsylvania FACT What we know about available healthy foods <ul><li>There were 43,870 acres of fresh produce harvested in Pennsylvania in 2003. </li></ul><ul><li>There are 31,628 eating and drinking establishments in Pennsylvania. </li></ul><ul><li>There are 166 Farmer’s Markets in Pennsylvania. </li></ul><ul><li>Source: Pennsylvania Department of Health, 2003 </li></ul>
    • 10. Pennsylvania FACT What we know about people’s intake <ul><li>Most adults need at least 3.5 cups of colorful fruits and vegetables a day to meet their nutritional needs. </li></ul><ul><li>75% of adult Pennsylvanians do not eat the recommendation of 5 servings of fruits and vegetables a day. </li></ul>
    • 11. Research FACT What we know about satiety <ul><li>Studies indicate that the VOLUME of food people eat is what makes them feel full and stop - not the calorie content of the food. </li></ul><ul><li>Source: Rolls, B.J., et all. (2004) Journal of the American Dietetic Association, 104,1570-1576. </li></ul>
    • 12. Popular Diets <ul><li>Dr. Atkins’ Diet Revolution & Atkins for Life </li></ul><ul><li>Dr. Dean Ornish – Eat More, Weigh Less </li></ul><ul><li>Dr. Phil McGraw’s Ultimate Weight Loss </li></ul><ul><li>South Beach Diet </li></ul><ul><li>Weight Watchers </li></ul>
    • 13. Popular Diets That have faded into history <ul><li>Barry Sears: The Zone </li></ul><ul><li>Beverly Hills Diet </li></ul><ul><li>Eat-To-Win </li></ul><ul><li>Pritikin Program </li></ul><ul><li>Rotation Diet </li></ul><ul><li>Scarsdale Diet </li></ul>
    • 14. FACT and FAD <ul><li>Number of gastric bypass surgeries performed in the United States </li></ul><ul><ul><li>1998: 13,365 </li></ul></ul><ul><ul><li>2002: 72,177 </li></ul></ul><ul><ul><li>2005: 100,000 (estimated) </li></ul></ul>
    • 15. FACT Weight Loss <ul><li>National Weight Control Registry </li></ul><ul><ul><li>Established: 1993 </li></ul></ul><ul><ul><li>Investigators: Dr. James Hill & Dr. Rena Wing </li></ul></ul><ul><ul><li>Criteria: 30 pound weight loss for at least 1 year </li></ul></ul><ul><ul><li>Enrolled: 4,500 participants </li></ul></ul>
    • 16. There are as many ways to get HEALTHY (as there are people in this room) What WAY will work for YOU ?
    • 17. Medical FACT Body Mass Index (BMI) Scientific SCREENING tool to estimate RISK of chronic disease
    • 18. Physical FACT LOVE HANDLES Non-scientific tool to estimate EXCESS body fat
    • 19. Physical FACT SHAKE, WAIT & WATCH Non-scientific BRAVE way to face reality of health risks
    • 20. FACT Body Mass Index (BMI) <ul><li>Classifications: </li></ul><ul><ul><li>Underweight: < 19 </li></ul></ul><ul><ul><li>Healthy Weight: 19-24 ( LEAST HEALTH RISK ) </li></ul></ul><ul><ul><li>Overweight : 25-29 </li></ul></ul><ul><ul><li>Obese: 30-40+ </li></ul></ul><ul><li>Source: Centers for Disease Control and Prevention (CDC) </li></ul>
    • 21. There’s more to health than the bathroom scales or your BMI How often do you swim, dance, or walk?
    • 22. Remember the TV ad about WEALTH ? We make money the old fashion way. We earn it. Can the same be said of HEALTH ? We get health the old fashion way. We work for it.
    • 23. Are we willing to work for health now ? Or are we too busy ??? Do you have time to be UNHEALTHY ?
    • 24. FACT Low Carbohydrate (CHO) Diets <ul><li>1825: Jean Brillat-Savarin </li></ul><ul><ul><li>“ The Physiology of Taste” </li></ul></ul><ul><ul><li>French father of gastronomy </li></ul></ul><ul><li>1863: William Banting </li></ul><ul><ul><li>Undertaker </li></ul></ul><ul><ul><li>Letter on Corpulence </li></ul></ul><ul><li>1870: Siege of France 1870 </li></ul><ul><ul><li>Diabetics (Type 1) improve </li></ul></ul><ul><ul><li>Word for dieting in England : banting </li></ul></ul>
    • 25. FACT Biology and human starvation <ul><li>1944: Ancel Keys develops “K” rations </li></ul><ul><li>1950: Ancel Keys’ Biology of Human Starvation </li></ul><ul><ul><li>Conscientious Objectors </li></ul></ul><ul><ul><li>1200 calories/day </li></ul></ul>
    • 26. FACT The History of the Atkins Diet <ul><li>1972: The Atkins Diet </li></ul><ul><li>1990: The Atkins Revolution </li></ul><ul><li>2002: Atkins for Life </li></ul>
    • 27. FACT 10 out of 10 humans bodies prefer CARBOHYDRATE as the fuel of choice
    • 28. FACT Voted BEST by Humans <ul><li>Carbohydrate (CHO) – BEST fuel source; clean and efficient </li></ul><ul><li>Protein (PRO) – BEST repair service </li></ul><ul><li>Fat (FAT) – BEST insulation and energy reserve </li></ul>
    • 29. FACT Homeostasis Plan A (when there is CHO) <ul><li>Brain and central nervous system (CNS) require CHO/glucose for energy source </li></ul><ul><li>Red blood cells require CHO/glucose for energy (no mitochondria!) </li></ul>
    • 30. FACT Homeostasis Plan B (when there is not enough CHO) <ul><li>Overall game plan: SURVIVAL </li></ul><ul><li>Body uses PRO or FAT for energy </li></ul><ul><li>FAT requires CHO to break it down </li></ul><ul><li>When no CHO is available, the body uses KETONES </li></ul>
    • 31. FACT A minimum of 50-100 grams of CHO is needed each day to SPARE Protein. Not all CHO are created equal. The VALUE is in the wholeness.
    • 32. FACT What foods make for health <ul><li>WHOLE Grains </li></ul><ul><li>Green, orange, red & blue/purple VEGGIES & FRUIT </li></ul><ul><li>Fiber </li></ul><ul><li>PLANT fats </li></ul><ul><li>Legumes </li></ul>
    • 33. FACT What makes good health <ul><li>Moderation </li></ul><ul><li>Balance </li></ul><ul><li>Exercise </li></ul>
    • 34. FACT Everyday Healthy Choices <ul><li>National campaign </li></ul><ul><ul><li>American Cancer Association </li></ul></ul><ul><ul><li>American Diabetes Association </li></ul></ul><ul><ul><li>American Heart Association </li></ul></ul>
    • 35. Everyday Healthy Choices Protect yourself from yourself. Eat right. Exercise. Don’t smoke.
    • 36. Contact Information <ul><li>Eleanor B. Pella, M.S., R.D., L.D.N. </li></ul><ul><li>Public Health Nutrition Consultant </li></ul><ul><li>Pennsylvania Department of Health </li></ul><ul><li>717-346-3979 </li></ul><ul><li>[email_address] </li></ul><ul><li>www.health.state.pa.us </li></ul><ul><li>Have faith in fiber! </li></ul><ul><li>Thank you for your time! </li></ul>

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